Center for Health Market Innovations (CHMI)

PSI Kenya provides standards, service delivery protocols, provider training and supportive supervision for long-term family planning methods.The nurses are accredited by the Nursing Council of Kenya. Clinical officers are certified by the Clinical Officers Council. For both cadres, the license to operate a private clinic is from the Medical Practitioners and Dentists Board. Tunza currently providers training and support for family planning and cervical cancer screening, but hopes to soon move into HIV/AIDS and fever in children under 5 years of age. Almost all providers within the franchise network also provide other services (e.g. maternal care, general primary care), but these are not covered by Tunza. PSI/Kenya hopes to expand the franchise by about 30 clinics per year.

Each clinic has one to two community mobilizers who mobilize women in their communities to attend family planning education sessions conducted by PSI/Kenya, and to refer women to franchise clinics using a referral card and hold educational sessions.

While all Tunza clinics are required to provide family planning care of a certain standard, PSI/Kenya started testing an additional accreditation scheme in the summer of 2011. Through an assessment of all services provided (both family planning and others) by a franchised clinic, PSI will assign an accreditation level of 1 to 5 depending on the quality of the clinic. For clinics looking to improve, PSI provides business training so that the clinics can apply for micro-credit loans.